Chairo Shaffer, COTA/L

Occupational Therapy Assistant · Edwardsville, IL

Individual Active NPI

NPI number 1619482742

Practice location

1111 University Dr
Edwardsville, IL 62025-5589
Phone
(618) 692-2273

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NPI record

NPI
1619482742
Entity type
Individual (Type 1)
Enumeration date
December 12, 2017
Last updated
December 12, 2017
Sole proprietor
Yes

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Occupational Therapy Assistant Primary 224Z00000X 057.004686 IL

Mailing address

810 Holyoake Rd
Edwardsville, IL 62025-2315
Phone
(618) 980-3696

About Chairo Shaffer

Chairo Shaffer, COTA/L is a healthcare provider registered in the NPI registry with the primary taxonomy Occupational Therapy Assistant (code 224Z00000X). The practice location is 1111 University Dr, Edwardsville, IL 62025-5589. The NPI number 1619482742 was assigned on December 12, 2017 and the record was last updated on December 12, 2017.

Chairo Shaffer lists a license in the registry: #057.004686 (IL) for Occupational Therapy Assistant. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Chairo Shaffer, COTA/L?

The NPI number is 1619482742.

What is the phone number of Chairo Shaffer?

The phone number listed for the practice location is (618) 692-2273.

Where is Chairo Shaffer located?

1111 University Dr, Edwardsville, IL 62025-5589.

What is the taxonomy code for Chairo Shaffer?

The primary taxonomy code is 224Z00000X – Occupational Therapy Assistant.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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